Entry Form - 3^rd Annual VVA Car Show 2003

Name__________________________________ Phone ( ) _______________

Address__________________________ City__________ State_____ Zip_____

Vehicle Year_______ Category class (see above)________________________

Club Affiliation____________________________________________________

Date_____________________ Signature______________________________

Cars and drivers must be licensed and insured (proof of insurance to be provided day of event)

Entry Fee: $15 if paid prior to October 11, 2003

$20 if paid day of event

Make checks payable to: VVA Chapter 582

Mail to: 139 Cohasset Loop Rd., Chico, CA. 95973